Skinner's books, which are often set in her native British Columbia, are characterized by a strong gothic streak and a tendency to dismiss genre conventions. For example, though she commonly features child protagonists, she subjects them to both emotional intensity and physical violence rarely found in "young adult" novels. This has been attributed in part to Skinner's independence from the larger literary culture. She did not publish her first book until she was nearly 40, and she did her writing alone in suburban West Vancouver while raising three children.